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Passive TrackingActive Patients!
Todd Greenwood, PhD, MPHDirector Digital Strategy
2!page© Medullan Inc. 2!page© Medullan Inc. 2!page© Medullan Inc.
We’re Digital Health Experts. !
• 100% Healthcare since 2005 • Steeped in Lean & Learning Development • Geared for complex collaborations • Focused on iteratively driving Outcomes
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Today’s Discussion
1 IoT is Here!
What Matters!
Making it Work!2 3
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Faster, better, cheaper!
30%�of clinical trial cost is associated with data management
85%�trials delayed due
to poor patient enrollment
70K�clinical research trials occurring at any given
time
$18B"in recruiting costs in the US alone
64%"reduction in clinical trial
recruitment cost (MDConenct data)
11K"signed up for
MyHeartCounts in 24 hours
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The vision of digital acceleration in trials!
RW Data Collection Wearables and sensors deliver continuous data
Clinical Data Lean, easily configurable platform provisioned for clinical trials
Recruitment Reach the right participants and quickly screen
Enrollment Use alternative sites to enroll, collect baseline biometrics
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Clinical trials are often unrepresentative!
25%�of cancer trial
participants are older than 65
61%�of cancer cases are in people older than 65
years
32%�participants in
Phase II/III trials
60%�of national disease
burden bourn by older Americans
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The digital divide is real!
Is this reality?
30%"owned a smartphone
65 and older (2015):
55%"owned a computer
32%"owned a tablet
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Poverty, more than geography, determines who gets online in America
Poverty is also the key determinant of disease burden
Internet Adoption Income
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“Perfect Data” from “Imperfect People”!
Cultural Differences!Consider: expectations about how people
live, work, and eat
Cognitive Differences !Consideration of differences in ability to learn
and understand instructions
Physical Differences!Consideration of ability to carry out expected
activities or complete actions
And Daily Life!Stress, forgetfulness, disorganization and the
general messiness of the real world
Health Differences!Consider how health status, co-morbidities
affect digital clinical data
Language Differences!US Census: 350 languages spoken in US
homes
What Matters?Seven Considerations
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Digital literacy / Digital access!
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Social determinants of health!
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8%"of males are color blind
Usability, accessibility and human factors!
40%�of people with disabilities are
aged 65 and over
6.5"million use a cane,
walker, or crutches
2.7�million people in the
US who are wheelchair bound
3.4"million legally blind
in the US alone
1million"Americans are “functionally
deaf” (and half are over 65 years old)
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Designing for health (il)literacy!
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Addressing anxiety and paranoia (whether rational or not)!
PROMs!
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Privacy – Goes beyond HIPAA!
WHY I GOT A QR CODE TATTOOED ON MY STERNUM By Casey Quinlan
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Selecting technology w/ consumer focus�(+ FDA approval)?!
Making It WorkPatient-Centric Strategies
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Capturing the voice and the lived lives of patients!
Big Data!Analytics!
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PD Medical Affairs CRO
Patients
Closing the communication gaps
Inside the Organization
HCPs
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Expectations and explanations!
Adaptive!Design!
PROMs!Big Data!Analytics!
The What If !More than FAQs: considering the ways that
things might not as planned
The What For!Why do the questions that are being
answered really matter?
The Why !What’s the reason for the trial?
What questions are being answered?
The When!How long is the trial continuing and when can I stop wearing/using the sensor technology?
The Who!“Who you gonna call?” when there are
questions and concerns?
The How!The reason for using sensors and biometric
devices and how they work
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Activating participants with their own data!
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Getting going!
1. Understand your patient population from the inside out
2. Assess the landscape of IoT and sensor technology devices from a patient perspective
3. Plan and design companion apps using person-centered UX principles that aim to
activate and engage participants
4. Use a lean, agile approach to piloting new IoT technologies prior to roll-out in a trial
5. Ensure that all technology is supported and embraced by CRO and that CRO is aligned
on reducing the digital divide
Todd Greenwood, PhD, MPH
Thank YouDirector Digital Strategy
tgreenwood@medullan.com @medullan
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